Cholangitis history and symptoms: Difference between revisions
No edit summary |
|||
| Line 3: | Line 3: | ||
{{Cholangitis}} | {{Cholangitis}} | ||
==Overview== | ==Overview== | ||
The classical clinical manifestation of | The classical clinical manifestation of cholangitis is described by [[Charcot's triad]] and includes [[fever]], right upper quadrant pain, and [[jaundice]]. In suppurative cholangitis, [[hypotension]] and [[confusion]] can occur. The pentad of presentation is then called as Reynold's pentad, which is associated with significant morbidity and mortality. | ||
==History and Symptoms== | ==History and Symptoms== | ||
Revision as of 20:03, 20 April 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
|
Cholangitis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Cholangitis history and symptoms On the Web |
|
American Roentgen Ray Society Images of Cholangitis history and symptoms |
|
Risk calculators and risk factors for Cholangitis history and symptoms |
Overview
The classical clinical manifestation of cholangitis is described by Charcot's triad and includes fever, right upper quadrant pain, and jaundice. In suppurative cholangitis, hypotension and confusion can occur. The pentad of presentation is then called as Reynold's pentad, which is associated with significant morbidity and mortality.
History and Symptoms
The three classical presentation of Charcot’s triad are present only in 50-60% of the patient population. 95% patients may have fever, 66% abdominal pain, and jaundice is noted in 80% (with a bilirubin >2.5). Nonobstructive stones are more likely to present without pain or fever. Elderly patients may present only with hypotension.
Charcot's Triad
Abdominal Pain
- Right or middle of the upper abdomen
- Intermittent
- Sharp, crampy, or dull
- Radiation to back or below the right shoulder blade
Fever
- With chills and rigor
Jaundice
Reynold's Pentad
- In suppurative cholangitis hypotension, and confusion can occur along with Charcot's triad. The pentad of presentation is then called as Reynold's pentad.
- Reynold's pentad is associated with significant morbidity, and mortality.